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皮肤型红斑狼疮

Cutaneous lupus erythematosus.

作者信息

McCauliffe D P

机构信息

Department of Medicine, Rutland Regional Medical Center, VT, USA.

出版信息

Semin Cutan Med Surg. 2001 Mar;20(1):14-26. doi: 10.1053/sder.2001.23091.

Abstract

Lupus erythematosus (LE) has many different clinical manifestations including a variety of cutaneous findings. Some of the cutaneous manifestations are not specific for LE, such as photosensitivity reactions, oral ulcers, alopecia, urticaria, vasculitis, vesiculo-bullous lesions, acral changes, cutaneous mucinoses, and cutaneous calcinosis. Other findings are specific for LE in that they are found only in patients who have lupus erythematosus. These LE-specific disorders include acute cutaneous LE, subacute cutaneous LE, and several forms of chronic cutaneous LE, including discoid LE. Skin biopsies are often helpful in differentiating LE-specific skin lesions from other disorders that can mimic them. Photoprotective measures and a number of drugs are useful in treating cutaneous LE.

摘要

红斑狼疮(LE)有许多不同的临床表现,包括多种皮肤表现。一些皮肤表现并非LE所特有,如光敏反应、口腔溃疡、脱发、荨麻疹、血管炎、水疱大疱性皮损、肢端改变、皮肤黏蛋白沉积症和皮肤钙化。其他表现则是LE所特有的,因为它们仅在患有红斑狼疮的患者中出现。这些LE特异性疾病包括急性皮肤型LE、亚急性皮肤型LE以及几种慢性皮肤型LE,包括盘状红斑狼疮。皮肤活检通常有助于将LE特异性皮肤病变与其他可模仿它们的疾病区分开来。光防护措施和多种药物对治疗皮肤型LE有用。

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